Organization
PHYSICIANS GROUP SERVICES PA
Active
Other names
Coastal Spine and Pain Center, Coastal Podiatry and Wound Care, Coastal Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW T CHRISTMAN (CEO)
(941) 685-7688
Entity
Organization
Contact information
Practice address
421 KINGSLEY AVE STE 400, ORANGE PARK, FL 32073-4898
(904) 265-0470
(904) 223-3949
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 619-1080
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
09/14/2018
Last updated
05/30/2025
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